| NPI | 1407989155 |
|---|---|
| Doing Business As | FAYETTEVILLE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOHN KELLER President 770-461-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 020555) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-04-20 |